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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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F "~ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5100 Eagle DR Fort Pierce, FL 34951
Property Tax ID#: 1312-801-0025-000-1 Lot No.222
Site Plan Name: Block No.
Project Name: Sykes
DETAILED DESCRIPTION OF WORK:
Replace 8 windows size-for-size with impact
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional workto be performed underthis permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10895 Utilities: —Sewer —Septic Building Height:
`OWNER/LESSEE: CONTRACTOR.
Name Petra Sykes Name:Roberto Sanchez
Address:5100 Eagle DR Company:The Home Depot
City: Fort Pierce State:�L Address:2455 Paces Ferry Rd
Zip Cade: 34951 Fax: City: Atlanta State.GA
Phone No. (423)902-1192 Zip Code: 33039 Fax:
E-Mail:wallydriver60@yahoo.com Phone No 754-224-2010
Fill in fee simple Title Holder on next page (if different E-Mail robertosanchezthd@expeditepermit.com
from the Owner listed above) State or County License CGC1522717
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls, signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I�,�ct COUNTY OF
S rn to(or affirmed) and subscribed before me of Sworn to(or affirmed) and subscribed before me of `°9oA. .•
Physical Presence or Online Notarization Physical Presence or Online Notarization
his day of 2 1 6 2021 by this day of / 2021 by
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Name of person making statement. Name of person making statement. `"
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of IdentificationCD
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Produced Produced
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9 natur4 of Notary Public-State of Florida ) (Si ature of Notary Public-State of Florida )
Commission No. H 07 '"/ (Seal) Commission No.mq/0 5 1 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20